| NPI | 1497018048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ANTHONY GRAY Insurance Coordinator 626-797-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |